DefinitionThis section has been translated automatically.
Rare, but particularly severe form of acne infantum with nodules and abscessing fistula ducts. Endocrinological disorders frequent; clarification necessary!
LocalizationThis section has been translated automatically.
Confined to the face.
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Clinical featuresThis section has been translated automatically.
papules, pustules, nodules and abscessed fistula ducts.
LaboratoryThis section has been translated automatically.
Clarification: Total and free testosterone, dehydroepiandrosterone (DHEA and DHEA-S), LH, FSH.
Complication(s)This section has been translated automatically.
External therapyThis section has been translated automatically.
Benzoyl peroxide (e.g. acne oxide) in lowest concentration, e.g. 1-2%, under observation for a few minutes, if necessary adapalene 0.1% (Differin gel/cream). Alternatively azelaic acid (e.g. Skinoren cream) can be tried. Deeply inflammatory efflorescences can be treated locally or intralesionally with glucocorticoids for a short time.
Internal therapyThis section has been translated automatically.
- In the case of highly inflammatory components, antibiotics, especially erythromycin, e.g. paediathrocin 2 times/day 125 mg p.o., can be given systemically.
- In pronounced, therapy-resistant cases, systemic treatment with isotretinoin should be considered in individual cases (0.36-1.0 mg/kg bw/day for 2-4 months). Cave! When treating with isotretinoin, no simultaneous administration of tetracyclines. Note the side effect profile of tetracyclines!
Progression/forecastThis section has been translated automatically.
Risk of considerable scarring, possibly continuation of the symptoms into adulthood.
Incoming links (1)Acne infantum;
Outgoing links (9)Acne infantum; Antibiotics; Azelaic acid; Benzoyl peroxide; Erythromycin; Glucorticosteroids topical; Isotretinoin; Panniculitis (overview); Pyoderma;
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.